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Surgical Tooth Extraction

Surgical tooth extraction is a procedure in which impacted, partially impacted, fractured, or bone-embedded teeth that cannot be removed using conventional methods are extracted through surgical intervention. This procedure aims to safely remove the tooth without damaging the surrounding tissues. It is most commonly performed on wisdom teeth, but surgical extraction may also be required for other reasons. The procedure is usually carried out in a clinical setting under local anesthesia or sedation, and in advanced cases, it may also be performed under general anesthesia in an operating room.

What is surgical tooth extraction?

Surgical tooth extraction is an advanced extraction method used in cases where direct access to the tooth is not possible or when the tooth cannot be removed in one piece. By lifting the gum tissue and, when necessary, carefully removing bone tissue, the tooth can be extracted in sections. This method aims to preserve the surrounding tissues and reduce the risk of complications.

In which situations is surgical tooth extraction performed?

Surgical tooth extraction is performed in cases of impacted or partially impacted teeth, fractured tooth roots, teeth located within the bone, and situations with a risk of infection. Additionally, the surgical method may be preferred when complications arise during a conventional extraction.

Things to consider before a surgical tooth extraction

The patient’s general health, existing systemic diseases, and regularly used medications should be fully reported to the dentist. Necessary radiographic examinations should be performed to evaluate the tooth’s position and surrounding anatomical structures. Maintaining oral hygiene before the procedure, including brushing teeth and using an antiseptic mouthwash, helps reduce the risk of infection.

Things to consider after a surgical tooth extraction

The gauze placed on the extraction site after the procedure should be kept in place without movement for approximately one hour. Rinsing, spitting, and gargling should be avoided. Hot foods and beverages, smoking, and alcohol should be avoided during the first 24 hours. Painkillers and medications recommended by the dentist should be taken regularly, and intermittent ice application can be used to reduce swelling after the surgical procedure. If stitches were placed, they are usually removed within 7–10 days.

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